HomeMy WebLinkAboutWater Meter - 09/07/2012 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:Oq/al 13.01
Meter(s) Installed At: 1 $52 (9S th oS -tiv (waslk Guam q-1-t-1-0 rZ4.1,tivQpkQ ;T
Name of Owner: 1-k 1& L►4\)1 SCft-per 3- C /-n zc)(,ai_cncs
Address of Owner: j J
Meter(s) Size: 3 1-f "
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit,Multiple Meter
Single Meter MIERI ounORYALV S
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Typical Deduct Meter Typical Water Use Only Meter
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ALLOWED
WA1lTART SEWER WO SANITARY
SEWER ONICHARGE
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OLRtiONO CONTROL VALVE .
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`OOLONG CLIMAX VALVE
Note: 1. A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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